Study On The Application Of Health Quotient In The Education Of Self Care Ability Of Elderly Patients With Hypertension

Objective:To understand the self care ability and the level of health quotient of the elderly patients with hypertension;To explore the effect of health education model on self-care ability of elderly patients with hypertension,To provide scientific methods and theoretical basis for community nursing care of elderly patients with hypertension.Methods:1 By using random sampling method,300 elderly patients with hypertension were selected in the Nanmian community health service center as the research object.Using a self-made questionnaire on the general condition of the elderly patients with hypertension?Hypertension self-care ability questionnaire and Hypertension related health quotient questionnaire.Use(?x±s)to describe the level of self-care ability of patients and Hypertension quotient level;Use percentage to describe patient datas;Using Spearman to study the relationship between self-care ability and health quotient.2 Randomized clinical trial.The patients were randomly divided into control group and intervention group,each group contains 34 patients.The control group received routine health education,it main contents of hypertension knowledge,diet,exercise,psychology,etc.The intervention time was 16 weeks.The intervention group received HQ health education.The program is divided into four stages.First stage,Basic knowledge teaching,the intervention time was 1-4 weeks.Explanation of self-care ability,self health,the relationship between hypertension and self health care and self-care ability of the three based on the theory of HQ.Using modern medicine,traditional medicine,auxiliary medicine and psychosomatic medicine of to explain the knowledge and methods of health knowledge and self-care of HQ.Second stage: Consolidation of basic knowledge and life style intervention,the intervention time was 5-8 weeks.The content of the previous knowledge to consolidate,and based on the previous survey results,combined with the Health Quotient and Omaha system theory,targeted interventions in the patient's lifestyle knowledge.Third stage: Mental health intervention and a systematic review of what has been learned,the intervention time was 9-12 weeks.Centered on the concept of HQ,combined with survey results,the knowledge of education from the adversity quotient,the belief space,emotion and immune system etc.Fourth stage: The knowledge of the patients was reviewed by the way of entering the home,knowledge and fun competition,the intervention time was 13-16 weeks.Before and after intervention,in the eighth and sixteenth weeks,the self care ability scale of hypertension and the evaluation of hypertension health consultation table were carried out.Blood pressure,daily salt intake and complications were recorded at the same time.At the end of the sixteenth week after the intervention,the intervention effect of hypertension self-care ability,the level of health quotient,blood pressure,daily salt intake and the incidence of complications were evaluated.Use EPidata3.0 software for data entry;SPSS22.0 software was used to analyze the results.The results showed that the difference was statistically significant with P < 0.05.Results: 1 Community elderly patients with hypertension self-care ability is at a low level.116 cases(38.7%)had higher self nursing ability,184 patients(61.3%)had lower self-care ability.1.1 In the self-care ability scale,the behavior scale was the lowest(46.47±7.05).Among the factors in the scale,the highest score was factor 10(Smoking and drinking factor),The lowest score was factor 1(Diet control factor).2 Elderly patients with hypertension health quotient level needs to be improved.The scores of self health care,health knowledge,lifestyle and mental state were(22.65±5.88)?(23.26±3.97)?(23.55±5.51)?(26.86±3.69),Self health care,health knowledge,lifestyle scores are lower than the critical points(24 ?).2.1 The method of obtaining the physical and mental health in the self care dimension was the lowest(5.46±1.52).The lowest score of health knowledge was maintained in the dimension of health knowledge(5.78±1.52).The diet and eating habits were the lowest in the lifestyle dimension(4.66±1.37).In the dimension of mental state,the scores of personal beliefs was the lowest(5.68±1.73).3 There was positive correlation between the dimensions of health quotient and the factors of self-care ability of elderly patients with hypertension.In addition to the dimension of self health care and factor 4,the state of mind and the factor 2,5,6,8,10 showed low correlation(0.3?r?0.5),the rest of the dimensions and each factor showed significantly or highly correlated(r>0.8 or 0.5<r?0.8).4 The following is the results of health education model in the community of elderly patients with hypertension.4.1 After the intervention,the health quotient of health education in patients with self care behavior,motivation,self-efficacy,health quotient level of each dimension,salt restriction ability,control of blood pressure has increased compared with that before intervention,the difference was statistically significant.Conclusions: 1 Self nursing ability of patients in community elderly hypertensive disease and health quotient level are in low level,and suggest that our intervention in the way of life behavior is the key to improve the self nursing ability patients,and can focus on various dimensions of HQ education intervention on patients,so as to improve the self nursing ability.2 HQ education intervention can better improve the elderly patients' self-care ability and health quotient level,reduce salt intake,reduce blood pressure,control the occurrence and development of complications.